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Revenue Cycle Business Analyst
4 months ago
Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters.Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Create, prepare and maintain a variety of analysis required for revenue cycle leadership. Support process improvement for hospital billing and professional billing revenue cycle, analyze data, and provide recommendations to the Revenue Cycle leadership team. Position Responsibilities: Key Areas of Responsibility 1. Maintains a high level understanding of the entire revenue cycle, including Key Performance Indicators (KPIs); maintains a thorough knowledge of the components for which manager is specifically responsible; maintains a thorough knowledge of staff processes; anticipates changes in revenue cycle workflow based on changes in the internal and external healthcare environment relevant to the unit and makes appropriate changes/recommendations. 2. Identifies work processes that can be improved upon, eliminated, or handled through electronic processes; makes appropriate changes or recommendations to workflows; breaks down identified problems into small components, understands underlying issues, simplifies and processes complex issues; understands the difference between critical and unimportant facts/details. 3. Routinely Analyzes revenue cycle data and patient accounts to help identify root-causes to issues affecting cash flow, accounts receivable and net revenue: · Ability to analyze and synthesize data, including recognizing patterns and conceptualizing processes. · Independently identifies resolution on accounts or provides recommendation to manager based on standard work developed by the department. · Identify improvement opportunities (proactive and reactive). Continually strive to improve quality by identifying areas of potential risk and recommending improvement opportunities · Identify, create and support process design changes by conducting business and systems process analysis and design at a complex level. Focusing on operational improvement and data management while ensuring data is reputable and valid. Partner with internal and external customers to ensure system processes provided meet the long-term business strategies · Monitor the EPIC Revenue Cycle Dashboards for any variations and areas of potential risk. Monitor closely the trend in AR Days, unbilled charges, late charges, aging AR and cash collections. Perform detail analysis of discrepancies, report areas of high financial risk and make resolution recommendations to senior management. · Lead projects as assigned to successful, on time completion including effective planning, coordinating the project team, establishing deadlines, and resolving barriers. · Remain cognizant of revenue cycle research, seminars, user groups, other facility ideas and monitor current industry trends for potential application to HHC Revenue Cycle. · Perform trend analysis and key performance indicator (KPI) variances to identify financial risk and opportunities to maximize financial return. 4. Maintain working relationships with vendors (Huron, Experian, PWC, Early-Out and Collection Agencies) and communicates as needed for status updates, data, data validation, reconciliation, etc. 5. Respond to issues identified that impact the financial health of the revenue cycle and need analysis and/or review; escalate issues to leadership as appropriate along with recommended solutions. 6. Recommends policies and standard work that will speed processing of claims payments and reduce the amount of follow up required by the hospital, while incorporating goals and productivity standards. Working Relationships: Job Title of Individual(s) Reports To: Manager of Customer Service and Self-PayQualifications Education · Bachelor’s degree in Health Care Management, Business Administration, or related field. · Extensive experience may substitute for education Experience · Minimum: o Five (5) years’ experience in hospital/professional billing revenue cycle or medical office setting. o Prior project management experience preferred. o Strong Excel and/or database skills. o Strong problem solving and analytical skills. · Preferred: o Experience developing end user reports. o Experienced on creating and programming queries. o Strong database skills (Oracle preferred). Knowledge, Skills and Ability Requirements: · Ability to create structure and organize teams to work independently · Excellent communication and interpersonal skills · Demonstrated ability to build and maintain strong and strategic business relationships · Strong problem-solving and critical-thinking skills with the ability to execute with limited information and ambiguity. · Persuasive, collaborative business acumen with the ability to influence others. · Demonstrated ability to manage multiple priorities · Demonstrated ability to work in a fast-paced working environment · Ability to work comfortably with a variety of stakeholders at multiple organizational levels We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this isyour moment.
